MEDICARE: RANDOLPH COHEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XP3100X	Pediatric Orthopaedic Surgery Physician	ME76715	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740282292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANDOLPH COHEN MD

Provider Business Mailing Address
First Line	:	2900 CORPORATE WAY
Second Line	:	DOOR D
City	:	MIRAMAR
State	:	FL
Zip	:	33025-3925
Country	:	US
Telephone Number	:	954-276-5685
Fax Number	:	954-985-7074

Provider Business Practice Location Address
First Line	:	5830 CORAL RIDGE DR STE 207
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076
Country	:	US
Telephone Number	:	954-265-6300
Fax Number	:	954-961-3600

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	03/16/2021

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Directions to “ RANDOLPH COHEN MD” Practice Location

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